KENECHUKWU OFORDEME (M.D.) – Emergency Medicine Physician, NPI 1639220213

Emergency Medicine Physician

KENECHUKWU OFORDEME (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. TRN9215 (FL). The NPI Number for KENECHUKWU OFORDEME (M.D.) is 1639220213

Main info

Male

22 Years Of Experience

Accepts Medicare Assignment

Name

KENECHUKWU OFORDEME (M.D.)

NPI

1639220213

Phone

(904) 244-3837

Address

655 W 8TH ST # C506

Enumeration Date

12 January 2007

Last Update Date

11 August 2009

Doctor Profile

Medical School Name

ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY

Secondary Phone

8329123500

Graduation Year

2004 (22 years ago)

PAC ID

1951464536

Group Practice PAC ID

6002914645

Professional Enrollment ID

I20090107000687

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for KENECHUKWU OFORDEME (M.D.)

West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States
CLINICAL CENTER, 1ST FLOOR
JACKSONVILLE, FL 322096511
Phone: (904) 244-3837
Fax: (904) 244-4508
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20090107000687	I	Emergency Medicine	TX	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6002914645View full group profile

Name	Specialty	State
JACOB THOMAS (M.D.)	-	AR
JAMES ARTHUR RINKLE (M.D.)	-	TX
KAREN DENISE ROBINSON (NP)	-	TX
HARJOT SINGH (M.D.)	-	DC
JAMES BEUTNAGEL (M.D.)	-	OK

Reviews

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Frequently asked questions

How do I look up KENECHUKWU OFORDEME (M.D.) by NPI?

Use NPI 1639220213 when you need to reference KENECHUKWU OFORDEME (M.D.) in forms, claims, or directories.

Is KENECHUKWU OFORDEME (M.D.)'s NPI currently valid?

The extract we use shows KENECHUKWU OFORDEME (M.D.) as active.

Does KENECHUKWU OFORDEME (M.D.) list a primary specialty?

If you are matching referrals, note Emergency Medicine Physician for KENECHUKWU OFORDEME (M.D.). Clinical services aligned with this taxonomy classification.

Does KENECHUKWU OFORDEME (M.D.) practice in Florida?

You will see Jacksonville, Florida on file for KENECHUKWU OFORDEME (M.D.) alongside any extra practice locations.

What if Jacksonville, Florida seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.

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